Laserfiche WebLink
Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 12/27/2025 u° Legal Request #: 11362 <br />Fund/Department: I 1/10th of 1% Mental Health Tax Agenda Date: <br />information <br />rnnrract/Aereement Aeencv: Cie Elum-Roslyn School District (CERSD) <br />i <br />K i![itas C: <br />Public Health <br />Ue P3rcmeni <br />Contract/Agreement Title: Amendment 1 to PSA between CERSD and Kittitas County <br />Begin Date: 01/01/2025 End Date: 12/31/2025 <br />Total $ Amount: $143,600 Contract/Agreement ##: PHMH-01 1 <br />Contract/Agreement Summary: <br />1/10th funding to Cie Elum -Roslyn School District to provide mental health services to the <br />students in Cie Elum-Roslyn School District. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS YO FORM: <br />Signature of <br />Signature of Auditors Office <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense code(s): 105 - 560.54101 <br />7 Agency is not suspended/disbarred I n Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />7- 7 - <br />Date <br />3-/D•ZS— <br />Date <br />ADM IN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />